Individual
MS. ANGELA DAWN DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34006846A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12289524
CAQH PROVIDER NUMBER
IN
Enumeration date
09/21/2011
Last updated
12/11/2013
Update your record
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